Meet
Ethan Goldstein, M.D.

Obstetrics and
Gynecology

technology

Reverse Replacement

Procedure eases shoulder problems.

Office hours
Appointments available
Monday and Wednesday -
Friday

E

Office location
39630 W. 14 Mile Road
Commerce Twp., Ml 48390

Services offered
• Prenatal and
obstetrical care
• Comprehensive
gynecological care
• Birth control
counseling
• Infertility evaluation
and treatment

,

248.669.3517

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1444940

B10

October 30 - 2008

der by reversing the
normal position of
someone with
the ball and socket.
shoulder pain,
A metal and plastic
often due to rotator
cuff problems. In part,
implant places the ball
this reflects our aging
onto the shoulder blade
and the socket onto
population because
shoulder damage often
the top of the upper
occurs through normal
arm bone. "With a
'wear and tear." In addi-
reverse shoulder
replacement, the
tion, younger people can
injure their shoulders
deltoid muscle
rather than the
through certain forms of
exercise such as tennis
rotator cuff keeps
and through repetitive
the ball and socket in
work such as house
place. This increases
painting.
stability, restores motion
and relieves pain:' Dr.
The shoulder is a
complex ball-and-socket
Kwartowitz says.
joint capable of greater
The surgery usually
motion than any other
requires hospitaliza-
joint. The upper arm
tion for only one or
bone (humerus) ends
two days, followed by
in a ball, which fits into
three months of physi-
cal therapy. Initially the
a socket formed by the
shoulder blade (scapu-
patient wears a protective
lar). Normally they are
arm sling but recuperation
covered with smooth
is relatively quickAfter the
first six weeks, there are no
cartilage that facilitates
significant restrictions and
movement. The rota-
physical therapy helps
tor cuff, a network of
the patient with range of
muscles, ligaments and
motion and strengthen-
tendons, keeps the ball
ing. Patients notice sig-
and socket in place so
nificant pain relief and
that the arm can life or
a return to activities
twist.
Dr. Kwartowitz
of daily living with a
Mark Kwartowitz,
functional shoulder, so they
D.O., a board-certified
are happy and satisfied','
orthopedic surgeon on staff
at DMC Huron Valley-Sinai Hospital,
says Dr. Kwartowitz. E
explains that rotator cuff problems
can occur due to injury or degenera-
tive changes. The result can be tendon
Dr. Kwartowitz will be a pre-
tears leading to arthritis. While physi-
senter at DMC Huron Valley-Sinai
cal therapy, anti-inflammatory medi-
Hospital's "Latest Advance in
cations or steroid injections help some
Orthopedics" seminar, 8:30 a.m.
patients, others experience signifi-
Saturday, Nov.1, at Edgewood
cantly reduced movement and severe
Country Club, 8399 Commerce
pain in their shoulders.
Rd., Commerce. This DMC
"In cases where the tendon can't be
People's Medical College pro-
repaired surgically because it is torn
gram is free but advance reg-
down to the bone, a reverse shoulder
istration is required by calling
replacement is a good option for many
1-888-DMC-2500 or online at
patients," he says. This relatively new
surgical procedure was approved for
www.hvsh.org . Dr. Kwartowitz's
office is located in the Lakes
use in the United States about four
Building on Haggerty Road in
years ago.
West Bloomfield; phone (248)
The reverse shoulder replacement
669-2000.
changes the mechanics of the shoul-

veryone knows